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Long-term clinical outcomes of endodontically treated teeth restored with or without fiber post-retained single-unit restorations


Guldener, Kevin A; Lanzrein, Carla L; Siegrist Guldener, Beatrice E; Lang, Niklaus P; Ramseier, Christoph A; Salvi, Giovanni E (2017). Long-term clinical outcomes of endodontically treated teeth restored with or without fiber post-retained single-unit restorations. Journal of Endodontics, 43(2):188-193.

Abstract

INTRODUCTION: The aim of the present study was to evaluate both survival and failure rates of endodontically treated teeth restored with or without fiber post-retained restorations after a mean observation period of at least 5 years.
METHODS: A total of 144 single-rooted and multirooted teeth in 100 subjects were endodontically treated following a predetermined aseptic protocol and restored with either a fiber post and a composite core or a composite filling without intraradicular retention. A fiber post was cemented when the teeth presented with only 1 wall and/or less than one third of the remaining height of the clinical crown. After a comprehensive treatment plan, the teeth were restored with either a direct composite restoration or a single-unit crown. Endodontically treated teeth supporting fixed and removable dental prostheses and telescopic crowns were excluded from the analysis. Success was defined as tooth survival without any treatment of biological and/or technical complications.
RESULTS: The overall tooth survival rate was 89.6% after a mean observation time of 8.8 ± 2.3 years. The survival rate of teeth with a fiber post amounted to 94.3%, and for teeth without a post, it was 76.3% (P < .001). The main reason for tooth loss was root fracture (9.7%). No loss of post retention was observed. Successfully treated teeth without any biological and/or technical complications and requiring no additional treatment during the entire observation period amounted to 79.9%.
CONCLUSIONS: Endodontically treated teeth restored with fiber posts and either a direct composite restoration or a single-unit crown yielded higher survival and success rates compared with teeth restored without fiber posts. Vertical fractures of roots not containing a post represented a frequently encountered and serious problem.

Abstract

INTRODUCTION: The aim of the present study was to evaluate both survival and failure rates of endodontically treated teeth restored with or without fiber post-retained restorations after a mean observation period of at least 5 years.
METHODS: A total of 144 single-rooted and multirooted teeth in 100 subjects were endodontically treated following a predetermined aseptic protocol and restored with either a fiber post and a composite core or a composite filling without intraradicular retention. A fiber post was cemented when the teeth presented with only 1 wall and/or less than one third of the remaining height of the clinical crown. After a comprehensive treatment plan, the teeth were restored with either a direct composite restoration or a single-unit crown. Endodontically treated teeth supporting fixed and removable dental prostheses and telescopic crowns were excluded from the analysis. Success was defined as tooth survival without any treatment of biological and/or technical complications.
RESULTS: The overall tooth survival rate was 89.6% after a mean observation time of 8.8 ± 2.3 years. The survival rate of teeth with a fiber post amounted to 94.3%, and for teeth without a post, it was 76.3% (P < .001). The main reason for tooth loss was root fracture (9.7%). No loss of post retention was observed. Successfully treated teeth without any biological and/or technical complications and requiring no additional treatment during the entire observation period amounted to 79.9%.
CONCLUSIONS: Endodontically treated teeth restored with fiber posts and either a direct composite restoration or a single-unit crown yielded higher survival and success rates compared with teeth restored without fiber posts. Vertical fractures of roots not containing a post represented a frequently encountered and serious problem.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Fixed and Removable Prosthodontics
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Fiber post, restoration, root canal treatment, root filling, root fracture, single-unit crown
Language:English
Date:February 2017
Deposited On:30 Nov 2017 16:07
Last Modified:19 Feb 2018 09:27
Publisher:Elsevier
ISSN:0099-2399
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.joen.2016.10.008
PubMed ID:27939825

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